Riverside Radiology Medical Group Inc

LBN: Riverside Radiology Medical Group Inc
Riverside Radiology Medical Group Inc is an health care organization with primary practice located at 12276 Hesperia Rd Ste 6, Victorville CA 92395-5838. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Riverside Radiology Medical Group Inc can be contacted via phone (760) 843-0995, or through Kerkar, Jay via phone (951) 781-2270.

Contact Information

Primary practice address
12276 Hesperia Rd Ste 6 Victorville CA 92395-5838
Phone: (760) 843-0995
Fax: (760) 843-0975
Website:
Map and Directions
Authorized official contact:
Name: Kerkar, Jay
Phone: (951) 781-2270

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X California

Profile Details

NPI number 1679574594
LBN Legal business name Riverside Radiology Medical Group Inc
DBA Doing business as
Authorized official Kerkar, Jay
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679574594 NPPES
California MEDICAID ZZZ751532
California Other CG9918

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